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Excess mortality in a cohort of Brazilian patients with a median follow-up of 11 years after the first psychiatric hospital admission.
da Roza, Daiane Leite; de Rezende, Marcos Gonçalves; Barros, Régis Eric Maia; de Azevedo-Marques, João Mazzoncini; Santos, Jair Lício Ferreira; Morais, Lilian Cristina Correia; Ferreira, Carlos Eugenio de Carvalho; Waldvogel, Bernadette Cunha; Menezes, Paulo Rossi; Del-Ben, Cristina Marta.
Afiliação
  • da Roza DL; Division of Psychiatry, Department of Neurosciences and Behavior, Ribeirão Preto Medical School, University of São Paulo, Bandeirantes Avenue, 3900, Ribeirão Preto - SP, 14049-900, Brazil. daianeroza@usp.br.
  • de Rezende MG; Population Mental Health Research Centre, University of São Paulo, São Paulo - SP, Brazil. daianeroza@usp.br.
  • Barros REM; Division of Psychiatry, Department of Neurosciences and Behavior, Ribeirão Preto Medical School, University of São Paulo, Bandeirantes Avenue, 3900, Ribeirão Preto - SP, 14049-900, Brazil.
  • de Azevedo-Marques JM; Division of Psychiatry, Department of Neurosciences and Behavior, Ribeirão Preto Medical School, University of São Paulo, Bandeirantes Avenue, 3900, Ribeirão Preto - SP, 14049-900, Brazil.
  • Santos JLF; Department of Social Medicine, Ribeirão Preto Medical School, University of São Paulo, Ribeirão Preto - SP, Brazil.
  • Morais LCC; Department of Social Medicine, Ribeirão Preto Medical School, University of São Paulo, Ribeirão Preto - SP, Brazil.
  • Ferreira CEC; Fundação Sistema Estadual de Análise de Dados, SEADE, São Paulo - SP, Brazil.
  • Waldvogel BC; Fundação Sistema Estadual de Análise de Dados, SEADE, São Paulo - SP, Brazil.
  • Menezes PR; Fundação Sistema Estadual de Análise de Dados, SEADE, São Paulo - SP, Brazil.
  • Del-Ben CM; Department of Preventive Medicine, Faculty of Medicine, University of São Paulo, São Paulo - SP, Brazil.
Soc Psychiatry Psychiatr Epidemiol ; 58(2): 319-330, 2023 Feb.
Article em En | MEDLINE | ID: mdl-35639133
PURPOSE: To estimate the mortality rates of a cohort of Brazilian patients after their first psychiatric admission and determine the possible risk factors associated with excess mortality. METHODS: The study included a cohort of psychiatric patients hospitalised from Jan 1, 2002 to Dec 31, 2007 in the catchment area of Ribeirão Preto, São Paulo state, Brazil. Data were linked to deaths that occurred between Jan 1, 2002 and Dec 31, 2016 from the SEADE Foundation (state data analysis system of São Paulo). The mortality rate (MR), age-sex-standardised mortality ratio (SMR), life expectancy at birth, and years of life lost (YLL) were computed. The factors associated with mortality were analysed by survival analysis using a Cox proportional hazards regression model. RESULTS: Of 4019 patients admitted (54.76% male), 803 died (69.74% male) during the follow-up (median = 11.25 years). Mortality rates were approximately three-fold higher than expected (SMR = 2.90, 95% CI 2.71-3.11). The highest mortality rate was noted in men with alcohol-related disorders (SMR = 5.50, 95% CI 4.87-6.19). Male sex (adjusted hazard ratio (aHR) = 1.62, 95% CI 1.37-1.92), higher age (aHR = 21.47, 95% CI 13.48-34.17), and unemployment (aHR = 1.22, 95% CI 1.05-1.43) significantly increased the mortality risk from all causes. The average YLL was 27.64 years with the highest YLL noted in nonalcohol substance-related disorders (39.22 years). The life expectancy at birth in this cohort was 47.27 years. Unnatural causes of death were associated with nonwhite skin colour and substance-related disorders. CONCLUSION: An excess of mortality and a significant reduction in life expectancy of mentally disordered patients who were first admitted to psychiatric beds was noted, particularly patients admitted for substance-related disorders, which should represent a priority in mental health policies.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Transtornos Relacionados ao Uso de Substâncias / Hospitais Psiquiátricos Tipo de estudo: Prognostic_studies / Risk_factors_studies Limite: Female / Humans / Male / Newborn País/Região como assunto: America do sul / Brasil Idioma: En Revista: Soc Psychiatry Psychiatr Epidemiol Assunto da revista: CIENCIAS SOCIAIS / EPIDEMIOLOGIA / PSIQUIATRIA Ano de publicação: 2023 Tipo de documento: Article País de afiliação: Brasil País de publicação: Alemanha
Texto completo
Adicionar na Minha BVS
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Transtornos Relacionados ao Uso de Substâncias / Hospitais Psiquiátricos Tipo de estudo: Prognostic_studies / Risk_factors_studies Limite: Female / Humans / Male / Newborn País/Região como assunto: America do sul / Brasil Idioma: En Revista: Soc Psychiatry Psychiatr Epidemiol Assunto da revista: CIENCIAS SOCIAIS / EPIDEMIOLOGIA / PSIQUIATRIA Ano de publicação: 2023 Tipo de documento: Article País de afiliação: Brasil País de publicação: Alemanha